Organization Active NPI

Andrew C. Kerr, M.D. Inc

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1225065170
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51543 Issued in CA
Legal business name
ANDREW C. KERR, M.D. INC
Doing business as
LOMA VISTA FAMILY PRACTICE MEDICAL GROUP
Practice address
3555 Loma Vista Rd Ste 100
Ventura, CA 93003-3161
Phone
(805) 648-3316
Fax
(805) 641-2881
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Taren P Davis
Title
Business Manager
Phone
(805) 648-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G51543 CA Primary

Addresses

Primary practice location

3555 Loma Vista Rd Ste 100
Ventura, CA 93003-3161

Mailing address

PO Box 996
Ventura, CA 93002-0996
Phone (805) 648-3316

Other names 1

  • LOMA VISTA FAMILY PRACTICE MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

168 N Brent St
Ventura, CA 93003
Phone (805) 641-0273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1225065170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930020996",
            "telephone_number": "805-648-3316",
            "fax_number": "805-641-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-648-3316",
            "fax_number": "805-641-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW C. KERR, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TAREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "805-648-3316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOMA VISTA FAMILY PRACTICE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOMA VISTA FAMILY PRACTICE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.